Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 2005-00876 | NC |
N | 207RI0011X | Interventional Cardiology | 2005-00876 | NC |
NPI | 1033102413 |
---|---|
Provider Name | Dr. Michael Kevin Smith |
First Address | Greenville, NC 27858-6239 |
Second Address | Greenville, NC 27834-3763 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 07/02/2022 |